CN2406627Y - Mechanism for tractoring and comprehensively physical treating orthopedic diseases - Google Patents

Abstract

The utility model relates to a mechanism for towing and comprehensively physical treating orthopedic diseases, which comprises an actuating and guidance system in simulation technique of a screw shaft and a shifting slide gear, and a multifunctional treatment head which can realize vibration, static magnetism, rotary magnetic, heat conduction, medicinal ion introduction and galvanization. The utility model can cause a towing bed with simple function to be reformed into a new generation multifunctional medical device which can synchronously complete the motion and backward extension among spinal columns, vertebral body rotation, pushing and pulling the spinous process, kneading, pressing, and rolling technique, and a plurality of physical treatments. The utility model has the advantages of simple structure, low cost, automatic control, easy use, extensive accommodation, high curative effect, easy popularity and generalization, and one machine with multiple functions.

Description

The mechanical manipulator of traction stack complex physiotherapy and orthopedics department maneuver

The present invention relates to a kind of armarium, especially a kind of mechanical manipulator that draws stack complex physiotherapy and orthopedics department maneuver.

In the non-surgical treatment of rachiopathy especially prolapse of lumbar intervertebral disc, stretch after moving traction method, modern age the orthopedics department maneuver and complex physiotherapy be noinvasive, effectively, and Therapeutic Method commonly used.Retrieval Britain Derwent Publication Ltd WPIG and the disclosed patent documentation of Chinese patent communique are found to stretch after moving between traction stack spinal column, analog bone traumatology maneuver and complex physiotherapy be by machine operation and one step completed armarium simultaneously as yet.Shao Qiu is permitted the refined practical neck lumbago and backache of Competing and is learned front page Beijing: People's Medical Officer Press, 1992,384 disclosed " the kidney pad reduced methods of two ends traction " are that the patient is kept flat on the operating-table, armpit is drawn by two people, and two lower limb are drawn as reverse drag by two of other, and the kidney pad between waist 3～4 shakes height then, lower again, repeated multiple times is utilized the mechanically actuated of kidney pad, has saved resetting of big maneuver, and can obtain the retraction of outthrust, be the more efficiently a kind of method of more any reduced method.

The objective of the invention is to study a kind of draw stretch after moving between the stack spinal column reset, Chinese orthopedics department manipulation is operated automatically by machine and the therapeutic equipment of the multiple physical therapy that superposes, it is applicable to gets involved any type of extension table.Simulate traditional Chinese traditional massage maneuver and modern age the orthopedics department maneuver to comprise " tiltedly pulling manipulation " and " spinning reduction method " key operations---local vertebral body is rotated and the spinous process pushing, the key operations of " back pulling manipulation " and " manipulation of carrying on the back "---stretch behind the spinal column and tremble, " the pressing " in the tendon-soothing maneuver, " rolling ", and " rubbing " method.Traction treatment will comprise a continuous traction and a dynamic formula traction.Complex physiotherapy also will be finished automatically by mechanical manipulator, and physical therapy will comprise medicine ion importing, galvanism, intermediate frequency vibrations, conduction heat and magnetic field therapy, and magnetic field therapy also comprises magnetostatic and spin magnetic therapy.

The implementation method of purpose of the present invention is illustrated respectively at electric traction bed and artificial extension table.

The traction actuator of known electric traction bed is based on two kinds of forms, and a kind of is to draw mobile bed plate with worm drive by screw rod, and another kind is by take-up spool traction bundle guy wire rope with garden stud wheel transmission.Automatic controls also has two kinds of canonic forms, a kind of is the conversion switch of forming with discrete components and parts such as intervalometer, travel switch, the time relay and auxiliary reclay, and another kind is the digital-control circuit of forming with calculator chip, A/D converter, gravity or pulling force sensor.Its something in common is: be motive power with the motor, by the train transmission traction of slowing down, the merit that its final stage gear is done is the horizontal line kinetic potential parallel with the spinal column longitudinal axis.What have also sets up an auxiliary motor, rocks or plays drag rope as the lifting of bed board stage casing or bed board hypomere.Be example now with single motor extension table, interventional method of the present invention and operation principle are described: can in original deceleration train, insert a pair of garden bevel gear and transition gear, the excessively external gear of gear and nut engagement, nut inner thread cooperates with the screw rod external screw thread, axially-movable with mechanism's constraint nut, can distribute the vertical line kinetic energy of the screw rod and the spinal column longitudinal axis, a shifting slide gear A is installed on the transition gear axle again, make shifting slide gear B of its engagement, shifting slide gear B is a driven member, at the threadless axle of screw rod epimere, shift fork of mat makes a pair of shifting slide gear with the screw rod synchronization lifting with its center interporal lacuna engage sleeves.Shifting slide gear B and screw shaft have constituted the forearm that is equivalent to execute the patient, have flexible and spinfunction.A sliding bearing mechanism is installed between shifting slide gear B and the multifunctional treating head, it is equivalent to carpal joint, the multifunctional treating head then is equivalent to execute patient's palm, stretch out from the interstitial hole of two active bed boards, control to executing that the position carries out between spinal column stretching after moving from bottom to top, complex physiotherapy and analog bone traumatology manipulation, these treatment actions are to carry out in traction state, stretch traction synchronously after moving between the skill of imitation action of present embodiment and spinal column.Can also set up an auxiliary motor again or utilize existing auxiliary motor, specially give shifting slide gear in power by the deceleration transmission train, the elevating movement of screw rod is still activated indirectly by traction motor, stretch also synchronous after moving between the ridge of this embodiment is lived with traction, stretch behind skill of imitation action and the spinal column and draw asynchronous, its advantage is: behind traction and spinal column, stretches when being persistent state, simulates the maneuver action and still can proceed, and the strength maximum.

Known counterweight suspension extension table or artificial capstan winch formula extension table are the pulling equipments that utilizes gravity or manpower, they do not have electric device, one cover must be installed by frame, motor, band transmission and gear drive, two gears are installed on the final stage driven gear shaft, the nut external gear that one of them gears engaged axially-movable is retrained by mechanism, department's screw rod elevating movement, another gear then is shifting slide gear A as the aforementioned, the back lash is engaged in the shifting slide gear B on the screw shaft, and department rotatablely moves.The control device of motor can adopt the mechanical timer of washing machine, and is optimum selection.This embodiment be carry out under the continuous traction state stretching behind the dynamic formula spinal column, multiple physical therapy and skill of imitation treatment, a kind of simple in structure, cheap, function of can yet be regarded as reduction of spinal column 3 D stereo and complex physiotherapy novel armarium of being superimposed on traction insolently.

Degree of freedom and bounding theory below in conjunction with concrete structure and space motion object, summary artificial hand ratio juris: the part key operations in traditional Chinese traditional massage maneuver and modern age orthopedics department manipulation is selected in the skill of imitation action, as rotation manipulation, tiltedly spanner method, back spanner method, askew partially spinous process the pushing maneuver and by, roll, rub tendon-soothing maneuver.The power of skill of imitation is made a concerted effort from screw rod lifting power and shifting slide gear B revolving force, at the off-centre of end face design of shifting slide gear B and the circular orbit of inclination, six space motion degree of freedom in order to guidance multifunctional treating head, wherein put on the pressure and the frictional force sealing constraint of treatment end surface by weight in patients around rotatablely move degree of freedom and the eccentric motion degree of freedom of screw shaft, be converted to radially rubbing between the transfer movement of each point and skin and deep tissues on the lonizing radiation of treatment head, by " rolling " method in the height point transfer movement formation skill of imitation of the treatment end surface of shifting slide gear B end face solid geometry shape guidance, radially the high point of lonizing radiation under the rising thrust of screw rod to the part be the maneuver of " pressing ", high point has formed simulation spinous process pushing maneuver by the spinous process side to the transfer of median line, and the inclined plane is parallel with both sides transverse process line and local vertebral body is rotated when being 180 ° of revolutions.Though the whole anglec of rotation of orthopedics department rotation manipulation is bigger, push away for the body for some, can not be greater than the limit of the physiology anglec of rotation, otherwise, may cause new damage, at this,, can simulate rotation manipulation safely as long as shifting slide gear B end face gradient is made the physiology anglec of rotation that is slightly larger than local vertebral body.Shifting slide gear B is forward and backward revolution with motor, makes the direction of action of skill of imitation present clockwise and counterclockwise conversion.Because the motion of above-mentioned skill of imitation is superimposed on the screw rod rectilinear motion, when screw rod with the motor forward and backward revolution during lifting, the strength of skill of imitation promptly presents by light to weight, by the conversion that heavily lightens.

Describe concrete structure of the present invention in detail below in conjunction with accompanying drawing.

Accompanying drawing is the complex physiotherapy of a width of cloth extension table and the mechanical manipulator front view of analog bone traumatology maneuver.

Sequence number is represented respectively among the figure: 1-screw shaft, 2-shift fork, 3-sliding bearing A, 4-shifting slide gear B, 5-sliding bearing B, the housing of 6-multifunctional treating head, the end cap of 7-multifunctional treating head.

The screw shaft hypomere is processed into external screw thread, manufactures with nut inner thread, is best with the acme thread.The stage casing is the slick axle of cylindrical.Epimere is a pivot, and the tapering of pivot is identical with the end face gradient of following shifting slide gear B, if pivot is not processed into tapering, then should manufacture tapering at the centre bore of multifunctional treating head capsule body.The length of screw shaft should adapt with the amplitude peak of stretching behind the spinal column.

The hole of shift fork one end cooperates with the screw shaft stage casing is permanent, the hole of the other end cooperates with shifting slide gear A between centers crack, also can make the jaw shape, as long as can pitch live in shifting slide gear A, make it to rotate freely, when shift fork can be stirred the shifting slide gear A synchronization-sliding lifting of meshing shifting slide gear B during with the screw shaft lifting.

Lining is with sliding bearing A between shift fork and the shifting slide gear B, and sliding bearing A is best with the thrust ball bearing, also can adopt sliding bearing mechanisms such as steel ball or lubricated diaphragm, as long as the shifting slide gear B on it is rotated freely around screw shaft.

Shifting slide gear B is a kind of band tooth axle, and module and paired shifting slide gear A manufacture, the gear number of teeth and flank of tooth thickness on transmission when the strength of materials decide.Shifting slide gear B central authorities are through hole, manufacture with sliding bearing A and screw shaft external diameter, and must be matched in clearance wherein with the screw shaft external diameter.Epimere is the anodontia hollow axle of cylindrical, the length of axle also with spinal column after stretch motion amplitude adapt.The axle head basal plane is split into the inclined-plane, gradient is in the scope between the spinal column physiology anglec of rotation to 30 °, gradient too greatly then can cause multifunctional treating head kinetic stability to descend, the vertebral body swing of the too little then skill of imitation of gradient affects the treatment inadequately, the near middle circle or the nearly cylindrical of inclined end face should be processed into a boss, boss should have off-centre to a certain degree, uses with sliding bearing B location to cooperate.The combinative structure of shifting slide gear B and screw shaft makes mechanical manipulator possess flexible, rotation, axioversion, radial skew, twisting and eccentric motion function.The end face gradient that diagram provides is a constant, most preferred embodiment is that shifting slide gear B epimere is made movable joint, adopt straight pin or centering tenon jaw and toothed coupling structure to connect with the joint of one under it, detachable movable joint end face gradient has different models, adapting to different cases, or the treatment requirement of same case different phase.

The structure of sliding bearing B and sliding bearing category-A are optimum selection with the thrust ball bearing together.

The multifunctional treating head preferably is made up of housing and end cap.Housing should use insulation, every magnetic, material manufacture that the coefficient of heat conduction is lower, implement with the bakelite rod Vehicle Processing in small batches to the most suitable, production in enormous quantities should be shaped with thermosetting or thermoplasticity electrical plastics pressure injection, the bottom centre hole of its inner chamber cooperates with the screw shaft intercuspal space, annular groove and sliding bearing B interference fits around the boss, the top of inner chamber is in order to install vibrations physiotherapy apparatus or gyromagnet physiotherapy apparatus, and vertical groove is used for installing electrothermal device and end cap, and the housing perisporium also should be shaped on lead and pass the hole.End cap can be inlayed magnetic sheet or whole permanent magnet material manufacturing with diamagnetic metal materials such as rustless steel, copper or aluminum, connect lead and can have magnetostatic field, conduction heat and battery lead plate effect concurrently, the geometry of end cap end face should be copied human palm facies palmaris shape, be concavity, radially lonizing radiation are camber line shape protuberance all around, the diameter of end cap should be greater than adjacent two spinous process top spacings, can make different diameter types according to the meansigma methods of other equal proportion vertebral body X-ray sheet measurement data of different height levels.If can do an integral body when giving up its complex physiotherapy function, only keep the shape of intracavity bottom.

The physical therapy device of multifunctional treating head belongs to auxiliary treatment, can select and use it, make the difference in functionality type, whether adopt or select for use the combination of which kind of physical therapy device, for prolapse of lumbar intervertebral disc, the little dislocation of vertebral body and incarcerated synovium, it is important to can not show a candle to skill of imitation, for the other soft tissue pain's property disease of vertebra, its distinctive feature is then arranged, in particular for the physical therapy at other positions of whole body, can take off the multifunctional treating head and carry out the stack of multiple physical therapy, accomplish a tractor serves several purposes.Below be specifically described at the embodiment of a complete set of complex physiotherapy.

1, vibrations physical therapy mechanism: the vibrations of appropriate frequency and intensity, the adhesion of help to loosen nerve root and intervertebral disk hernia thing and surrounding tissue.Can adopt the shaking device in the commercially available masseur to be installed in the intracavity for the treatment of the head capsule body.Most preferred embodiment is that to select rotating speed for use be 1500～6000 rev/mins micromotor, and the off-centred dipole that square with the axis line of interference fit tilts on its armature spindle can obtain radially and axial vibrations.

2, magnetic field physical therapy mechanism: magnetostatic field physical therapy mechanism adopts and inlays magnetic sheet or whole magnetic piece as described in covering as the multifunctional treating head end.Gyromagnet physical therapy mechanism can select for use alternating magnetic field magnetotherapy apparatus or pulsating field magnetotherapy apparatus or magnetic masseur to be installed in the treatment head capsule body cavity, most preferred embodiment is on the oscillator of above-mentioned self-control electromagnetic shaker magnetic sheet to be installed, heteropole is arranged can obtain alternate rotary magnetic field, homopolarity is arranged can obtain the pulsating rotating field, and is superimposed on the vibrations physical therapy.

3, the hot physical therapy of conduction mechanism: the heating that is surrounded by heat-resistant insulation material can be installed between multifunctional treating head and housing, and the most preferred embodiment of temperature control mechanism is that deformation temperature of installation is 60 ℃ a microminiature double-metal thermal relay in housing.

4, medicine ion imports and direct current electrophysical therapy mechanism: it is to be superimposed on galvanism that medicine ion imports, can utilize multifunctional treating head end lid as battery lead plate, another pole plate places corresponding position, lead inserts corresponding electro-therapeutic apparatus, cotton yarn pad between end cap and the skin soaks conductive liquid and is galvanism, soaks medicinal liquid and can utilize the ultimate principle that the same sex is repelled each other, there is a natural attraction between the sexes to import medicine ion.

Except that medicine ion imports and galvanism must use the relevant physiotherapy apparatus, vibrations, gyromagnet and conduct hot physical therapy mechanism and all can use same power supply are the best with the 12V unidirectional current, and the mat electric switch is selected its a kind of and even whole complex physiotherapy.

The invention has the advantages that:

1, stretch after moving between traction stack spinal column, skill of imitation treatment and complex physiotherapy, can significantly improve curative effect, be not only applicable to prolapse of lumbar intervertebral disc, and being applicable to diseases such as the little dislocation of breast waist or incarcerated synovium, vertebral body hyperosteogeny or slippage, spinal canal stenosis, back muscular fasciae syndrome, acute and chronic lumbar muscle strain, traction apparatus still is applicable to the treatment of cervical spondylosis.Take out multi-functional smelting and treat head, with its multiple physical therapy overlaying function, indication is very extensive.

2, make traditional Chinese traditional massage maneuver and modern age the orthopedics department maneuver by machine operation, and and stretch after moving between traction, spinal column and complex physiotherapy is once finished simultaneously, thereby shorten treatment time, increase the utilization rate of armarium, reduce doctor's working strength, improve patient's comfort level and degree of safety.

3, the present invention is simple in structure, easily manufactured, cheap, does slight one at shifting slide gear B end face and splits, and adds that the multifunctional treating head makes up cleverly, for but being the work of a well-known writer of the combination of Chinese and Western medicine on the Therapeutic Method, has application value.

4, can be applicable to the functional technological transformation of the extension table of various ways, become the multi-functional armarium of a new generation, have higher function/value ratio.

Claims (2)

1, a kind of traction stack complex physiotherapy of forming by screw shaft (1), shift fork (2), sliding bearing A (3), shifting slide gear B (4), sliding bearing B (5) and multifunctional treating head and the mechanical manipulator of orthopedics department maneuver, it is characterized in that: the multifunctional treating head is combined by housing (6) and end cap (7), be slidingly connected with shifting slide gear B (4) mat sliding bearing B (5), shifting slide gear B (4) is a gear shaft structure, its axle head basal planes tilted.

2, the mechanical manipulator of traction stack complex physiotherapy as claimed in claim 1 and orthopedics department maneuver, its feature also is: the axle head basal plane gradient of shifting slide gear B (4) is spent to the scope of the vertebral body physiology anglec of rotation 30.

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